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General NPI Number Information
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NPI Number | 1811512486
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Entity Type | Individual
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Provider Name | BRIANA MCCLOSKEY
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 5750 DTC PKWY STE 170
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-5483
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Country | US
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Telephone | 303-504-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 S 27TH ST STE 103
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City | LINCOLN
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State | NE
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Zip | 68512-4872
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4148
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTLP.0000166
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License Number State | CO
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